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General NPI Number Information
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NPI Number | 1518293729
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Entity Type | Organization
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Legal Business Name | ABBA EYE CARE PC
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 365 N TELLURIDE ST BUCKLEY AFB
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City | AURORA
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State | CO
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Zip | 80011-7809
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Country | US
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Telephone | 720-858-8866
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Fax | 303-367-1939
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Provider Business Mailing Address
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Address Line | 1200 E CAMPBELL RD STE 108
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City | RICHARDSON
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State | TX
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Zip | 75081-1963
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Country | US
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Telephone | 314-741-8183
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Fax | 719-219-0411
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARCUS JOHN MEYER
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Credential |
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Telephone | 719-219-3819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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